NPI | 1356833024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 11784) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI PS01686) |
Enumeration Date | 2018-05-30 |
Last Update Date | 2024-08-07 |